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State of California Health and Human Services Agency California Department of Social ServicesTRUSTLINE REGISTRY APPLICATION Process For subsidized applicants, the local agency you're working with
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How to fill out fingerprint form 9163

01
Obtain form 9163 from the appropriate agency or organization requesting the fingerprints.
02
Fill out your personal information including full name, date of birth, social security number, and address.
03
Provide any additional information requested on the form such as reason for fingerprinting or agency requesting the fingerprints.
04
Follow any instructions provided on the form for submitting the form and getting your fingerprints taken.
05
Double check all information for accuracy before submitting the form.

Who needs fingerprint form 9163?

01
Individuals who are required to undergo a background check for employment purposes.
02
Applicants for certain licenses or permits such as security guards or healthcare professionals.
03
Volunteers or employees of organizations that work with vulnerable populations such as children or the elderly.
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Fingerprint Form 9163 is a document used by certain organizations or employers to request fingerprinting for background checks as part of the verification process for security clearance or employment.
Individuals or organizations that require background checks for employment, licensing, or other purposes mandated by law are required to file Fingerprint Form 9163.
To fill out Fingerprint Form 9163, provide the necessary personal information, including name, address, date of birth, and reason for fingerprinting. Ensure all data is accurate and complete before submitting.
The purpose of Fingerprint Form 9163 is to facilitate background checks through fingerprinting, ensuring that individuals do not pose a security risk in sensitive positions.
Information that must be reported on Fingerprint Form 9163 includes the individual's name, social security number, date of birth, address, and details about the requesting agency.
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